REVISIONAL GASTRIC BYPASS
Ricardo Nascimento, MD, Darlan M Kestering Medeiros, MD, Jaime Cesar M Gelosa Souza, MD, Luiz Henrique M Locks Corrêa, MD, Matheus M Pacheco Dos Reis, MD. HNSCIt is now generally accepted that bariatric surgery is the most effective therapy for morbid obesity. During the last decade, there has been an accelerated growth in the number… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Reversal of Single Anastomosis Gastric Bypass (Mini-Gastric Bypass / Omega Loop Gastric Bypass) to Sleeve Gastrectomy
Usah Khrucharoen, Ian T Macqueen, Yijun Chen, Erik Dutson. UCLAIn this video, we demonstrated laparoscopic reversal of Single Anastomosis Gastric Bypass (Mini-Gastric Bypass / Omega Loop Gastric Bypass) to sleeve gastrectomy in patient who was TPN dependent due to severe malnutrition and dysphagia. Patient had a history of undergoing sleeve gastrectomy followed by revisional procedure to single anastomosis… Continue Reading
- Topic:
- Metabolic / Obesity
Robotic-Assisted Laparoscopic Reversal of Silastic Ring Gastric Bypass (Fobi pouch)
Usah Khrucharoen, Yen-Yi Juo, Andrew Scott, Yijun Chen, Erik Dutson. UCLAStenosis of the gastrojejunal anastomosis is a rare complication of Silastic ring-reinforced gastric bypass, a highly effective weight-loss procedure with a low morbidity profile. The stenosis may be partly attributable to chronic inflammation of the non-expandable Silastic ring, which seeks to partly restore physiologic functions… Continue Reading
- Topic:
- Metabolic / Obesity
LAPAROSCOPIC REVERSAL OF VERTICAL BANDED GASTROPLASTY
Jin Sol Oh, MD, Saurabh Khandelwal, MD. University of Washington, Seattle, WAVertical banded gastroplasty (VBG) was first described by Mason in 1982. As a restrictive procedure, it consisted of creating a gastric pouch with vertical stapling and pouch outlet encircled with polypropylene mesh or silastic ring. Once popular in 80s and 90s, VBG has been… Continue Reading
- Topic:
- Metabolic / Obesity
COMBINED LAPAROSCOPIC AND ENDOSCOPIC TREATMENT OF GASTROGASTRIC FISTULA AFTER OPEN ROUX-EN-Y GASTRIC BYPASS WITH VASCULAR ASSESSMENT WITH INDOCYANINE GREEN.
Romina Pena, MD, Ainitze Ibarzábal, MD, Dulce Momblán, MD, Víctor Turrado, MD, Josep Llach, MD, PhD, Antonio M Lacy, MD, PhD, FASCRS, Hon. Hospital Clínic32-year old woman with history an open RYGB in 2006, complicated with anastomotic leak and stenosis. Patient had an initial and minimum weight of 170 Kg (BMI 60) and 73 Kg… Continue Reading
- Topic:
- Metabolic / Obesity
Dual Strictures and Unexpected Mesh: The Challenges of Revision Bariatric Surgery
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. UC San DiegoIn patients with morbid obesity, management with bariatric surgery is the gold standard for sustained weight loss.… Continue Reading
- Topic:
- Metabolic / Obesity
Conversion Of A Sleeve Gastrectomy To A Roux En Y Gastric Bypass In A Patient With Intestinal Non-Rotation
Nader Hanna, MD, Boris Zevin, MD, PhD. Queen's University, Kingston, OntarioIntestinal non-rotation is part of a wider spectrum of a malrotation congenital abnormality and its incidence is around 0.5%. It is usually discovered incidentally during investigation of unrelated pathology. We present a case of laparoscopic conversion from a sleeve gastrectomy to a Roux-en-Y gastric bypass… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Approach to Intussusception After Roux-en-Y Gastric Bypass
Selwan D Barbat, MD, Abdelrahman A Nimeri, MD, FACS, FASMBS, Timothy S Kuwada, MD, FACS, FASMBS, Keith S Gersin, MD, FACS, FASMBS. Carolinas Weight Management & Wellness CenterBackground: Intussusception after Roux-en-Y gastric bypass is a rare, but critical event that has an incidence of 0.1 to 0.3%. There have been only a few case series… Continue Reading
- Topic:
- Metabolic / Obesity
Endoscopic Septotomy & Dilation of Chronic Sleeve Gastrectomy Leak
David C Kelly, MD, MHA, MS, Salim Abunnaja, MD, Lawrence Tabone, MD, John Nasr, MD, Nova Szoka, MD. West Virginia UniversityLeak following laparoscopic sleeve gastrectomy is a common complication with incidence rates of 0.5-2.2%. Most leaks resolve quickly with conservative measures but some may persist for weeks to months. Management of persistent and chronic leaks… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of Strangulated Internal Hernia
Melissa L Desouza, MD1, Daniel Davila Bradley, MD2, Kevin M Reavis, MD, FACS2. 1Oregon Health and Science University, 2The Oregon Clinic, Division of Gastrointestinal and Minimally Invasive SurgeryBackground: Internal hernia is the most common cause of small bowel obstruction following Roux-en-Y gastric bypass and may result in devastating loss of bowel. Presented here is a… Continue Reading
- Topic:
- Metabolic / Obesity
Emergency Laparoscopic Remnant Gastrectomy with a Pouch Gastroplasty in a Gastric Bypass Patient with Acute Gastrogastric Fistula Bleeding
Jad M Abdelsattar, MD, David Kelly, MD, Lawrence Tabone, MD, Nova Szoka, MD, Salim Abunnaja, MD. West Virginia UniversityGastrogastric fistula (GGF) is a rare complication following laparoscopic Roux-en-Y gastric bypass (LRYGB). Patients can be asymptomatic, or present with abdominal pain, marginal ulceration (MU) or weight regain. To our knowledge, this is the first case in… Continue Reading
- Topic:
- Metabolic / Obesity
Endoscopic Gastrojejunal Revision (Transoral Outlet Reduction) for Persistent Hypoglycemia after Gastric Bypass
Eliza A Conaty, BS, Stephanie M Novak, MA, Rod Avitia, Bailey Su, MD, John G Linn, MD, Michael B Ujiki, MD. NorthShore University HealthSystemThis video is a case study of an endoscopic gastrojejunal revision (EGJR) done for persistent postoperative hypoglycemia. The patient is a 61 year old female, who had undergone Roux-en-Y Gastric Bypass twelve… Continue Reading
- Topic:
- Metabolic / Obesity
Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA).
Kojo Wallace, MD, Amy Rosenbluth, MD, William Inabnet, MD, Aida Taye, MD. Mount Sinai St. Luke's and WestVideo presentation of a "Left Hemithyroidectomy using the Transoral Endoscopic Thyroidectomy Vestibular Approach" (TOETVA). The patient underwent resection of a isthmus mass with involvement of the left thyroid lobe.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract… Continue Reading
- Topic:
- Minimally Invasive Other
INTRA-OPERATIVE ENTEROSCOPIC POLYPECTOMY- AN INNOVATIVE APPROACH
Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS1, Nidhisha Sadhwani, MBBS1, Waqar Ansari, MS, MRCS, DNB, FCPS, MNAMS, FMAS, FIAGES1, Amol Wagh, MS, FICS, FBMS, FALS, FMAS1, Shekhar Jadhav, MS, FMAS1, Eham Arora, MS1, Prashant Rahate, MS, FMAS, FALS2, Raj Gajbhiye, MS1, Shivang Shukla, MBBS2. 1Grant Government Medical College & Sir J.J. Group of… Continue Reading
- Topic:
- Minimally Invasive Other
Utilization of Normal Saline injection in Tissue Planes to Facilitate Safe Tissue Dissection in Laparoscopic Surgery
Ghaith Khair, MD, FACS, Andrea Zaw, MD, Kuldeep Singh, MD, FACS, FASMBS, MBA. St agnes hospitalBackground: Lysis of adhesions though almost is routinely done in surgery, is neither routine nor benign procedures. It is fraught with injury to structures, intestines, infected wounds and fistula formation, with or without sepsis. Methods: A video clip describing normal saline injection… Continue Reading
- Topic:
- Minimally Invasive Other